Today we continue our discussion about the four domains of wellbeing. So far, we’ve explored both personal life and work life as separate domains. We’ve also begun thinking about how these domains interact with and affect each other. It’s easy to imagine how a personal crisis can affect an individual’s performance at work or how a work crisis can be more difficult to handle if one’s personal life is out of balance.
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A quick internet search reveals models developed by different writers, bloggers, consultants, and therapists. While the word domain has many definitions, for our purposes we will use, “a sphere of knowledge, influence, or activity.” With this definition, we can safely narrow down the domains we will discuss as relevant to personal wellbeing.
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In recent years, wellbeing has arrived as a science, complete with research and applications. But as a concept, it has existed for millennia. Religious leaders, poets, writers, and (in the last century) secular self-help experts have written about it ad nauseum. It’s no wonder our modern world is fascinated and mesmerized by the concept.
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Approximately 29% of healthcare organizations have an engagement program (MGMA 2018), which sounds like good news. The problem is that typically these programs are disjointed and separate from other programs that have direct bearing on physician engagement. For example, hospitals will have a burnout of wellbeing program that is completely separate from an engagement program, which ignores the important truths that, one, burnout is the opposite of engagement and, two, engagement is a fundamental element of wellbeing. Since we know that burnout and engagement are the opposite ends of the same spectrum (Maslach et al, 2014), we must keep in mind both burnout and engagement when designing a program to engage physicians.
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Since we’re already well-versed in why low levels of engagement are a problem, let’s move on to what’s needed to create engagement, i.e. flow.
Engagement at an individual level has been studied for nearly five decades and there is significant research to bolster this claim. Positive psychology has contributed the most to studying the connection between engagement and flow. Mihaly Csikszentmihalyi popularized the concept of flow as he researched creativity and productivity and conducted interviews with people who were successful in a wide range of professions.
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But this isn’t just a “doctor problem”, it exists on the leadership side as well. Physician leaders are pressured to put new initiatives in place and check boxes that they’ve provided “programs” (there’s a vague word) for physician engagement. Rarely are they asked to collect and analyze data about how these programs perform or how they impact the team’s quality of life.
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To recap briefly (if you’ve been following the whole time feel free to skip this opening paragraph), we’ve been spending this fall semester bravely wading through the many, varied and interwoven problems in the healthcare industry. More specifically, we’ve been looking at issues related to physician overwhelm and burnout as well as leadership’s responsibilities to work toward a solution.
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Leaders are often saddled with the ultimate responsibility for physician burnout, which is a fair point. However, an untrained leader who is unable to successfully inhabit their own role is not equipped to help others avoid career pitfalls that they themselves have not avoided.
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This week we begin to tackle another sizeable problem in the healthcare field: lack of training. A kingpin of the problems in our field, the lack of adequate training for physician leaders steers the entire industry into a quagmire from which it’s nearly impossible to extract ourselves. The position of physician leader is still relatively new and, thankfully, evolving.
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It feels strange, because a physician is arguably one of the “most-trained” positions in the modern world. Physicians spend longer in higher education that any other profession. Yet the career transition from physician to physician leader involves minimal and inadequate preparation in the best of situations.
Why aren’t our physician leaders as well prepared for their role as physicians are? And what can we do to change this for the future?
One of the reasons physician leaders aren’t properly trained is they aren’t given time.
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The next problem we’ll begin to unravel is the systemic lack of communication that runs rampant in nearly every hospital and healthcare organization. Over the next few posts, we’ll see how poor communication rears its ugly head in several obvious (and avoidable) places.
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You’ve hit a dead end. Are sailing along at the same level, neither improving nor falling flat. You’re not content and unsure how to level up. Your goals are unclear, your future is fuzzy, your potential feels…untapped.
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A long time ago, in a galaxy far, far away, there lived an angsty teenager named Luke Skywalker, who wanted nothing more than to attend the Imperial Academy and become a fighter pilot for the Empire.
Wait, what? That can’t be right…
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Congratulations and give yourself a well-deserved pat on the back. You’ve made the decision to pursue visionary leadership in your organization, engage your team, and give your career a welcome boost! And more than that, you’re seeking out information to keep you from making mistakes and streamline the process. As a leadership coach of executive healthcare leaders, I can tell you with certainty that this will serve you extremely well in the long run. When I begin coaching new clients, we always begin with a lot of background work.
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The word vision seems to be reverberating throughout the business and self-help world constantly this year. Vision boards. Vision summits. Vision statements. Vision vision vision. It can be a little much. And unfortunately, when a word is overused, it begins to lose it’s meaning, becoming watered-down and less potent with each article you ingest.
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As a healthcare leader, chances are your team is often less engaged than you’d like. No matter what new trend you try or system you implement, it still feels like people don’t take initiative or understand what you want from them. And likely, this is negatively affecting your performance as well, creating stress and overwhelm and culminating in a less-than-ideal work environment. This can lead to a sense of helplessness.
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